Ministers Council

TOGETHER IN MINISTRY
COLLEGIAL COVENANT GROUP 2007

Please complete this form, printout and save a copy, then click submit button at the bottom of the form. NOTE: This form will be used by the Accounting Department to issue checks for the $100 individual payment. Money will not be distributed until we receive this form. All National dues membership will be verified with the local Ministers Council. At least one person must be a national dues-paying Ministers Council member.

1. NAME OF GROUP:

2. CONSTITUENT MINISTERS COUNCIL:

3. FACILITATOR NAME IF APPLICABLE:

4. GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

GROUP MEMBERS (INCLUDE NAME, ADDRESS, PHONE NUMBER(S) AND EMAIL ADDRESS):

Dues paying member of National Ministers Council:

Yes

No

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